Dog Assessment Form

Welcome!

Please take a moment to fill out our form to the best of your ability. Absolutely no judgement. We don't like leaving any stones unturned so the more information, the better so we can help assess and suggest the best service or training plan for your specific needs.

Please allow a minimum of 48 hours for a response.

Thank you kindly for your patience & cooperation.

Sincerely,
Christine.

First Name *

Last Name *

Street Address *

Address Line 2

City *

Province *

Postal Code *

Phone Number *

Email Address *

Dog's Name *

Dog's DOB

+-

Dog Breed

+-

Male or Female? *

Male

Female

How old was your dog when you got him or her? *

Dog spayed or neutered? *

Yes

No

Is your dog microchipped? *

What vaccines does your dog currently have? *

Does your dog have any medical issues, previous injuries or reoccurring pain? *

Is your dog on any medications? if so, please list. *

What services are you looking for? *

How many walks does your dog get per day? How long is each walk? (minutes) *

Is your dog allowed on the furniture? *

Yes

No

Sometimes

Is your dog crate trained? *

Yes

No

If so, how often is your dog crated?

Where does your dog sleep at night? *

Please check off any of the following unwanted behaviors that your dog exhibits: *

Has your dog ever bitten? (if so, explain exactly what happened) *

Have you ever consulted with a dog trainer before? if so, whom? why? and what was suggested? *

What is your goal(s) reaching out for help today? if you could have the perfect dog, please elaborate what that would look like? *

What training tools do you use or have used? *

Are you ready & willing to do lifestyle changes if needed? *

Yes

No

How did you hear of us? Did someone refer you? if so, who? *

Any comments or something else we should know? *